Saturday, August 28, 2021

Sutab Review For Crohn's Patient and Colonoscopy Update




This past week (August 25th, 2021) I had a colonoscopy to monitor my Crohn's. My last colonoscopy was back in August 2018 and my gastroenterologist wants me to go in every 3 years for an update which I covered here

One thing that was different this time around was the type of bowel prep I took. The last time I had my colonscopy I had Suprep Bowel Prep Kit (which includes a very gross tasting bowel prep-12 ounces to be exact). My thinking when I had this bowel prep was "hopefully I don't have to do this for another 7-8 years). This time around I was prescribed Sutab. Given I saw Sutab was approved by the FDA for bowel prep I thought I would try this given I am not a fan of the Mirlax and Gatorade. Honestly, I can say I still have that yucky taste in my mouth even though I last had it 3 years ago! 

The nice thing about Sutab is it is just pills and water (that's it!). Having to do bowel preps before I thought this would be an improvement over the previous method. My gastroenterologist allowed me to take Zofran (his prescription was for 3 pills) and I decided to take one pill before each prep (I took the first one an hour before my first Sutab pills). The way Subtab works is you take it twice (the evening before your procedure and then early in the morning of the day of the procedure). 

I started taking the Sutab pills a little after 6 P.M. and then around 9 P.M. there felt like there was a storm in my stomach. It wasn't until around 10 P.M. that I had my first bowel movement. After that I would say I was in and out the bathroom a few hours then able to sleep until 2 A.M. when I took the next dosage of Sutab. With each Sutab you take 12 pills (these pills are easy to digest too) and then drink 32 ounces of water. I found that I was actually drinking more water even after taking the pills because I was thirsty. Even though I was in the bathroom a dozen times during the night I felt as if it was easier than the previous bowel prep. I also did not feel nauseated as some people online have reported (I credit the Zofran) with helping that). 

Around 2 A.M. I woke up (and watched Frasier on T.V. to pass the time) and popped in one Zofran pill 10 minutes before I started my second batch of Subtab pills. I dumped the pills out on the table (the closest I will ever be to becoming a drug addict!) and took them one by one. For the second round I probably consumed all the pills over 20-30 minutes (as compared to the hour and half for the first found). 

I would say this time around my rear didn't feel as raw as it did the last time I had a colonoscopy. The morning of the coloscopy I took a hot shower which did provide some relief to the pain I was feeling in my rear. One thing that really did help me as it did 3 years ago was having adult diapers. I ordered Depends years ago and rarely have used them since I don't have any flare ups from Crohn's. I did notice the night before the colonoscopy I had involuntary bowel movements. To me the adult diaper is somewhat like wearing a bulletproof vest for your rear in a sense. Since I am fairly conservative I used two adult diapers for protection. One thing I did different during the day is I had Pedialyte which I think didn't make me feel as dehydrated. 

I weighed myself after I took all the bowel prep and weighed 170 lbs and this morning weighed 166 lbs (after I was all cleaned out). After the procedure me and my mother stopped by a local diner placed and I had a CLT (cheese lettuce tomato sandwich, French fries, and hash browns with some pecan fudge pie and ice cream). The last time I had ate was around Monday night at 10 P.M. 

Compared to the last colonoscopy I was more sleepy and dazed post the colonoscopy even though last time I stayed up from 4 A.M.-8 A.M. to watch TV. My colonoscopy was schedule for 10 A.M. this time around but you typically check in, go back and get comfy on a bed and a nurse will ask you questions, and then they finally wheel you back. My glasses were on but I was taken back to the doctor around 10:20 A.M. and then put to sleep and I woke up groggy and had some food went home and took a nap.

In the days after the colonoscopy I probably felt more tired then usual (however I think my body was just trying to catch up on the sleep). In the report prepared I noticed on the report that I had a anal stricture which concerns me a little bit if there is anything I need to do to fix. However, it looks like the rest of the colon was okay (inflamed a little bit from the Crohn's as expected). My gastroenterologist told me this was nothing to worry about since it was just caused from the previous inflammation from the Crohn's and nothing new. Also honestly I don't feel any pain near my rear and just have felt a little constipated. 

All in all I am glad I took the Sutab bowel prep and would do it again. The only thing I would change would be maybe starting the prep at 3 P.M. and the second round at 10 P.M. to allow for better sleep the night before. Given the pills take 3-4 hours to get through your GI track I would haven't to been worried staying up thinking when I will have a bowel movement. I am just happy that I am still in remission and don't have issues and had a clean bill of health. 

Saturday, August 21, 2021

Current Status and Upcoming Colonoscopy

Well it actually has been almost one year since my last post! I really can't believe I haven't blogged in that period of time. The main reason for not blogging is I haven't felt a need to (which is a good thing given I have been in good overall health). My game plan is within the next year to blog more often and focus more on research (new treatments available for Crohn's disease). 

Overall my health has been very good in the past year. I still rarely have any type of loose bowel movements and rarely in pain. Every now and then I might have some cramping that comes and goes for a couple of days but hey if that is all I have I would say I am winning the battle with Crohn's. As usual the biggest factors seem to be stress, sleep, and what I eat. There have been times were I feel some cramping and then I sleep for 9 hours and feel like a million bucks the day after. 

Recently I have been stressed because I took the second part of the Enrolled Agent exam (for non tax people it covers business income taxes). I had been studying months for the exam but within the past couple of weeks really tried to work hard. Every morning I would wake up and study around 7 A.M. until around 8 A.M. and then use that time to get ready for work. During lunch I would close my office door and get in about an hour, and then after work study for a few more hours. The pressure of both studying and working I could feel the burden. The last few weeks I have felt more of a cramp in my lower intestine. What is interesting is after the exam my cramping went away completely! 

My colonoscopy is scheduled for this coming Wednesday (August 25, 2021). On Monday I have to go in to get a COVID test (I got my 3rd booster vaccine at a local Walgreens by me last week). The only main side effect was a slight sore arm. I was able to get the third vaccine since I take an anti-TNF drug (Humira) and I had to sign a self attestation form that my immune system was compromised. My view was given the minimal side effects of the vaccine and given I have already had two vaccines it is somewhat like  My last colonoscopy which I blogged about here was in July 2018. The big difference from this time is I will be take Sutab prep pills (they were approved in late 2020 by the FDA)  instead of taking the usual Gatorade and Miralax combination. Actually the last time I had my colonoscopy was better than the previous colonoscopy but I can still have the after taste in my mouth. I read some reviews online of Sutab and some people complained that they had to vomit. Well one way around this is I had my GI prescribe Zofran to get around this. I will probably write a follow up on my experience after the procedure. I am curious to see how the procedure goes and move importantly to make sure I am still okay in terms.